A Case of Tolosa-Hunt Syndrome with Serial MRI Findings.
- Author:
Jeong Ho PARK
1
;
Won Hee CHUNG
;
Dae Ho KIM
;
Ki Bum SUNG
Author Information
1. Department of Neurology, College of Medicine, Soonchunhyang University, Bucheon, Korea. sungkb@schbc.ac.kr
- Publication Type:Case Report
- Keywords:
Tolosa-Hunt syndrome;
Magnetic resonance imaging;
Granuloma
- MeSH:
Biopsy;
Classification;
Diagnosis;
Granuloma;
Headache Disorders;
Humans;
Magnetic Resonance Imaging*;
Tolosa-Hunt Syndrome*;
Vasculitis
- From:Journal of the Korean Balance Society
2006;5(1):74-77
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
To diagnosis Tolosa-Hunt syndrome (TSH) used to be difficult because some other diseases like tumors, sarcoids, vasculitises or other inflammatory masses simulate the clinical manifestations, including steroid responsiveness and radiologic findings. According to the international classification of headache disorders 2nd edition, the diagnosis of THS requires demonstration of granuloma by MRI or biopsy. We performed MRI 4 times during 6 months in a patient who seemed to have THS. Initial MRI was normal but the second MRI showed granuloma which decreased gradually in size with steroid treatment.
